BROOKSIDE ASSISTED LIVING
NPI 1285209346
Assisted Living Facility in Colorado Springs, CO
- Organization
- Assisted Living Facility
- CLIA Number: 06D2230864
- CLIA Cert. Type: Assisted Living Facility
- CLIA Exp. Date: 07-27-2027
About BROOKSIDE ASSISTED LIVING
This page provides the complete NPI Profile along with additional information for Brookside Assisted Living, a provider established in Colorado Springs, Colorado operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1285209346 assigned on May 2021. The practitioner's primary taxonomy code is 310400000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Brookside Assisted Living. The authorized official of this NPI record is Jeffrey Aaron Pitus (Administrator)
- NPI
- 1285209346 Verify this NPI
- Provider Legal Name
- ELDER CARE INC. OF COLORADO SPRINGS
- Other Organization Name
- BROOKSIDE ASSISTED LIVING
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 225 W BROOKSIDE ST COLORADO SPRINGS, CO 80905
- Location Phone
- (719) 632-6511
- Location Fax
- (719) 632-0726
- Mailing Address
- 225 W BROOKSIDE ST COLORADO SPRINGS, CO 80905
- Mailing Phone
- (719) 632-6511
- Mailing Fax
- (719) 632-0726
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-21-2021
- Last Update Date
- 09-09-2021
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Assisted Living Facility
- Taxonomy Code
- 310400000X
- Type
- Nursing & Custodial Care Facilities
- Taxonomy Description
- A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 313M00000X | Nursing & Custodial Care Facilities | Nursing Facility/Intermediate Care Facility |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 06D2230864
- Facility Type
- Assisted Living Facility
- Certificate Effective Date
- July 28, 2025
- Certificate Expiration Date
- July 27, 2027
- Laboratory Director
- JEFFREY A. PITUS
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Brookside Assisted Living to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1285209346, enumerated as an "organization" on May 21, 2021.
The provider is located at 225 W BROOKSIDE ST COLORADO SPRINGS, CO 80905 and the phone number is (719) 632-6511.
Assisted Living Facility with taxonomy code 310400000X.
